Case: This case shows the findings of an advanced apical HCM phenotype in a 50-60 year old man. The diagnosis was made 6 years ago when he presented with atrial fibrillation. His prior medical history was unremarkable and his family history revealed a sudden cardiac death of this father below the age of 50 years. […]

Case: A 30-40 year old man, a carrier of a pathogenic MYBPC3 mutation which was found during familial cascade screening. The following images show the progression of this disease during follow up (on examinations at 2010 and 2017). He has been free of cardiac complaints. The ECG at presentation was unremarkable, with borderline LVH voltage […]

Case: This case shows typical echocardiographic findings in a patient with a non-obstructive hypertrophic cardiomyopathy (HCM). The images are of a 50-60 year old woman who was diagnosed with this disease after family cascade screening. She was found to be a carrier of a pathogenic MYBPC3 mutation. She was asymptomatic at the time of diagnosis, […]

Case: This ultrasound is from a 55 year old man who has been treated for hypertension by the general practitioner with an ACE inhibitor for the last 5 year for hypertension. With this medication he has been normotensive during control visits. An ECG was made during follow up showing left ventricular hypertrophy. He was consequently […]

Case: 55-year old male who was known for several years with asymptomatic concentric left ventricular hypertrophy. This condition was also known in his family, although no genetic testing was performed. He developed complaints of heart failure (NYHA functional class III/IV) for which he was admitted. The ECG showed a decrease in QRS voltage compared to […]

Case 65-year old woman undergoing an urological surgical procedure (with an otherwise blank medical history) was found to have ECG abnormalities fitting left ventricular hypertrophy at pre-operative screening. She was sent to our outpatient clinic for pre-operative consultation. She has been free of any cardiac complaints. Physical examination was unremarkable (no signs of congestion, no […]

Case The following case shows typical findings in hypertensive heart disease with a moderate reduction in longitudinal systolic strain in the basal septum 55-year old woman with long standing hypertension which was found on routine examination by the general physician. She was free from cardiac complaints and had no additional risk factors. Medical therapy (ACE […]

Case: The presented case demonstrates the typical findings in an endurance athlete. This is a 21 year old professional cyclists. He has a no medical history, trains approximately 28 hours per week, and participates in international competitions. The basic ultrasound shows typical remodeling of the heart with enlargement of all cardiac compartments. The LV mass is […]

Case 2: Amlyloidosis with reduced LVEF Patient with progressive dyspnea complaints for almost 1 year. Admitted to our ward with severe heart failure (NYHA IV/IV). The findings on ultrasound were performed with the patient on dobutamine infusion. The ECG showed a sinus tachycardia with microvoltages of the QRS-complex. 2D assessment shows concentric LVH and a […]

Case: A 71-year old male who was known for several years with asymptomatic moderate concentric left ventricular hypertrophy and a paroxysmal 2nd degree Wenckebach AV-block. He developed heart failure / congestion due to atrial fibrillation with a total AV-block with a junctional rhythm of 45/min. He was admitted and recompensed. The echocardiogram and CMR were […]